Organization Active NPI

Mtmcare

Doing business as myMTMcare

  • Pharmacist
  • Hood River, OR
National Provider Identifier
1245766500
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7 Issued in OR
Legal business name
MTMCARE
Doing business as
myMTMcare
Practice address
1020 Wasco St Ste C
Hood River, OR 97031-1159
Phone
(541) 436-2575
NPI assigned
May 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Randee Bowder
Title
Ceo
Phone
(541) 436-2575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 7 OR Primary

Addresses

Primary practice location

1020 Wasco St Ste C
Hood River, OR 97031-1159

Mailing address

1020 Wasco St Ste C
Hood River, OR 97031-1159
Phone (541) 436-2575

Other names 1

  • myMTMcare Doing business as

National Provider Directory

National Provider Directory

Locations

1020 Wasco St
Ste C
Hood River, OR 97031
Phone (518) 708-9638

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1245766500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 WASCO ST STE C",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311159",
            "telephone_number": "541-436-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WASCO ST STE C",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311159",
            "telephone_number": "541-436-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTMCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "BOWDER",
        "authorized_official_first_name": "RANDEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-436-2575"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "myMTMcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.